alcoholism

Alcoholism, also known as alcohol use disorder, is a broad term for problems with ethanol (commonly referred to as alcohol), and generally refers to alcohol addiction, which is the compulsive and uncontrolled consumption of alcoholic beverages, usually to the detriment of the drinker’s health, personal relationships, and social standing. It is medically considered a disease, specifically an addictive illness. There are two main types alcohol abuse, alcohol dependence. Alcohol misuse has the potential to damage almost every organ in the body, including the brain. The effects of chronic alcohol abuse can cause both medical and psychiatric problems. One who has alcoholism is called an alcoholic. The American Medical Association considers alcoholism as a disease and supports a classification that includes both physical and mental components. The biological mechanisms that cause alcoholism are not well understood. Social environment, stress, mental health, family history, age, ethnic group, and gender all influence the risk for the condition. Significant alcohol intake produces changes in the brain’s structure and chemistry, though some alterations occur with minimal use of alcohol over a short term period, such as tolerance and physical dependence. These changes maintain the person with alcoholism’s compulsive inability to stop drinking and result in alcohol withdrawal syndrome if the person stops. Identifying alcoholism may be difficult for those affected because of the social stigma associated with the disease that causes people with alcoholism to avoid diagnosis and treatment for fear of shame or social consequences. The evaluation responses to a group of standardized questioning is a common method of diagnosis. These can be used to identify harmful drinking patterns, including alcoholism. In general, problem drinking is considered alcoholism when the person continues to drink despite experiencing social or health problems caused by drinking. Treatment of alcoholism takes several steps. Because of the medical problems that can be caused by withdrawal, alcohol detoxification should be carefully controlled. One common method involves the administration of benzodiazepine medications, such as diazepam. People with alcoholism also sometimes have other addictions which may complicate this step. After detoxification, other support such as group therapy or self-help groups are used to help the person remain sober. Thombs (1999) states according to behavioural sciences alcoholism is described as a “maladaptive behaviour”. He explains this must not be confused with “misbehaviour”. Behavioural scientists explain that addicts have a behaviour pattern that may lead to destructive consequences for themselves, their families and society. This does not label addicts as bad or irresponsible. Compared with men, women are more sensitive to alcohol’s harmful physical, cerebral, and mental effects. The World Health Organization estimates that there are 140 million people with alcoholism worldwide. Alcohol use disorders resulted in 139,000 deaths in 2013 up from 112,000 deaths in 1990. In 1979, the World Health Organization discouraged the use of “alcoholism” due to it inexact meaning, preferring the category of “alcohol dependence syndrome”. In the 19th and early 20th centuries, alcohol dependence in general was called dipsomania, but that term now has a much more specific meaning. Many other terms, some of them insulting or informal, have been used throughout history.

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